MICHAEL KOOISTRA

AUBURN, IN
NPI1508864380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01045333A)
Enumeration Date2005-07-14
Last Update Date2024-01-02
Business Address
Dr. MICHAEL KOOISTRA MD
1306 E 7TH ST STE A
AUBURN, IN 46706-2537
Phone number: 260-925-1255
Mailing Address
Dr. MICHAEL KOOISTRA MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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